title: Successful conservative treatment of bilateral emphysematous pyelonephritis in autosomal dominant polycystic kidney disease.
abstract: Emphysematous pyelonephritis is a rare, potentially lethal complication of polycystic kidney disease. Treatment mostly includes emergency nephrectomy of the affected kidney. We report a case of bilateral emphysematous pyelonephritis in a 57-year-old diabetic male with autosomal dominant polycystic kidney disease, who recovered with conservative treatment. Escherichia coli was cultured from the cyst aspirate. He was treated with percutaneous needle aspiration of infected cysts and intravenous antibiotics (meropenem and pazufloxacin) for 3 weeks.
authors.affiliation: Department of Nephrology and Renal Transplantation, Assured Best Care Hospitals, Trichy, Tamil Nadu, India.
authors.forename: K
authors.initials: K
authors.lastname: Jaisuresh
authors.forename: R
authors.initials: R
authors.lastname: Bavaharan
keywords: Emphysematous pyelonephritis; percutaneous aspiration; polycystic kidney disease